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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Medical harm reduction practices related to unsafe abortion in primary health care in the city of São Paulo, Brazil: contexts and barriers to implementation

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Author(s):
Nathália Machado Cardoso [1] ; Luiza Magalhães Cadioli [2] ; Mariana Pércia Namé de Souza Franco [3] ; Elisabeth Meloni Vieira [4] ; Ana Flávia Pires Lucas dOliveira [5]
Total Authors: 5
Affiliation:
[1] Universidade de São Paulo. Faculdade de Medicina - Brasil
[2] Universidade de São Paulo. Faculdade de Saúde Pública - Brasil
[3] Universidade de São Paulo. Faculdade de Saúde Pública - Brasil
[4] Universidade de São Paulo. Faculdade de Saúde Pública - Brasil
[5] Universidade de São Paulo. Faculdade de Medicina - Brasil
Total Affiliations: 5
Document type: Journal article
Source: Cadernos de Saúde Pública; v. 41, n. 4 2025-04-25.
Abstract

Unsafe induced abortion is a public health problem responsible for high morbidity and mortality during the pregnancy and postpartum period. In view of the State’s negligence in addressing this problem, various preventive strategies have been proposed. One of them involves healthcare professionals working to reduce the risks of unsafe abortion. The aim of this study was to identify primary healthcare physicians in the city of São Paulo, Brazil, who embrace this perspective, and to understand the challenges they face in providing such care. It is a qualitative research with a hermeneutic-dialectical approach, conducting semi-structured interviews with eight professionals. The results show that this work faces many obstacles, including fear of stigma and moral judgement, the growth of conservatism in the country, and the limitations of public health policies, whose maternal and infant orientation guides care practices in the pregnancy-postpartum cycle. As a targeted public policy, harm reduction strategies require political commitment, continuous education, targets and metrics to comprehensively address individual needs and reduce mortality due to unsafe abortion. (AU)

FAPESP's process: 24/18715-0 - The struggle to reduce the risks and harms related to abortion: the experience of accompanying women and health professionals in Primary Health Care
Grantee:Nathália Machado Cardoso
Support Opportunities: Scholarships in Brazil - Doctorate (Direct)